Experienced Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, arenaflex

As a leading healthcare provider, arenaflex is committed to delivering exceptional patient experiences and transforming the primary care experience. We're seeking a passionate and innovative Customer Service Specialist to join our team, working closely with patients, providers, and internal stakeholders to ensure seamless communication and resolution of billing inquiries. If you're a strong problem-solver with a customer-centric approach, we'd love to connect with you.

About arenaflex

arenaflex is a forward-thinking healthcare organization dedicated to making healthcare more accessible and less complicated for our members. Our team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. We're committed to creating a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.

A Day in the Life

As a Customer Service Specialist, you'll be the first point of contact for patients regarding their medical bills, insurance claims, and payment inquiries. Your daily activities will include:

• Handling inbound calls from patients, responding to their concerns, and resolving billing discrepancies in a timely and professional manner
• Collaborating with internal stakeholders, such as medical billing specialists, insurance verification teams, and healthcare providers, to resolve complex billing issues
• Documenting all interactions in the electronic health record system and following up on pending issues
• Communicating with insurance companies to verify benefits and claim status
• Educating patients on their insurance benefits, explaining EOBs, and assisting with payment options
• Maintaining accurate and up-to-date patient records, ensuring compliance with HIPAA regulations

Key Responsibilities

* Handle patient phone calls and message inquiries, de-escalate issues, and ensure patient satisfaction

• Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions
• Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, and maintain service level agreements in response time to admins and patients
• Assist admins with our member's billing needs via 1Life's tasking system to provide the best customer service
• Investigate claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy
• Master our technology suite, including RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to interact with team members and patients and complete daily work
• Contribute to team development through rounding, attending team huddles, participating in team problem-solving, and supporting all in-office providers with urgent & stat patient needs

Essential Qualifications

* 2+ years of customer service experience in a call center environment

• 1+ years of medical billing, insurance claims, or healthcare revenue cycle experience
• Demonstrated proficiency in Microsoft Office Suite
• Experience using electronic health records (EHR) or customer relationship management (CRM) systems
• Knowledge of HIPAA compliance and healthcare privacy regulations
• High school diploma or equivalent

Preferred Qualifications

* Spanish speaking

• Ability to work various shifts
• Strong problem-solving and documentation skills
• Ability to type 45+ WPM while maintaining accuracy

Work Environment and Culture

* arenaflex is committed to creating a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism

• Our team has a customer-obsessed culture, emphasizing leadership principles of ownership and continuous improvement, supported by ongoing training and development
• We prioritize employee well-being, offering a range of benefits, including medical, financial, and other perks

Compensation and Benefits

* Our compensation reflects the cost of labor across several US geographic markets, with a base pay range of $41,600/year in our lowest geographic market up to $45,760/year in our highest geographic market

• Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package
• arenaflex offers a full range of medical, financial, and other benefits, including a comprehensive health insurance plan, 401(k) matching, and paid time off

How to Apply

If you're a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application via our internal or external career site. Apply for this job